Provider Demographics
NPI:1659534105
Name:ONSHORE THERAPY, PLC
Entity Type:Organization
Organization Name:ONSHORE THERAPY, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEANN
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:CROCKETT
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:305-852-8600
Mailing Address - Street 1:92410 OVERSEAS HIGHWAY
Mailing Address - Street 2:SUITE 6
Mailing Address - City:TAVERNIER
Mailing Address - State:FL
Mailing Address - Zip Code:33070-2636
Mailing Address - Country:US
Mailing Address - Phone:305-852-8600
Mailing Address - Fax:305-852-8300
Practice Address - Street 1:92410 OVERSEAS HIGHWAY
Practice Address - Street 2:SUITE 6
Practice Address - City:TAVERNIER
Practice Address - State:FL
Practice Address - Zip Code:33070-2636
Practice Address - Country:US
Practice Address - Phone:305-852-8600
Practice Address - Fax:305-852-8300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-04
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT21750261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001268400Medicaid
FLAP492Medicare PIN